Provider Demographics
NPI:1790138790
Name:FRIENDLY HOME CARE LLC
Entity Type:Organization
Organization Name:FRIENDLY HOME CARE LLC
Other - Org Name:FRIENDLY HOME CARE LLC
Other - Org Type:Doing Business As
Authorized Official - Title/Position:RN
Authorized Official - Prefix:
Authorized Official - First Name:LAXMI
Authorized Official - Middle Name:
Authorized Official - Last Name:REGMI
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:330-217-4169
Mailing Address - Street 1:1717 BRITTAIN RD STE 311
Mailing Address - Street 2:
Mailing Address - City:AKRON
Mailing Address - State:OH
Mailing Address - Zip Code:44310-1894
Mailing Address - Country:US
Mailing Address - Phone:330-217-4169
Mailing Address - Fax:
Practice Address - Street 1:1717 BRITTAIN RD STE 311
Practice Address - Street 2:
Practice Address - City:AKRON
Practice Address - State:OH
Practice Address - Zip Code:44310-1894
Practice Address - Country:US
Practice Address - Phone:330-217-4169
Practice Address - Fax:614-737-5363
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:N/A
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2016-07-14
Last Update Date:2023-02-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes251E00000XAgenciesHome HealthGroup - Multi-Specialty
No364SH0200XPhysician Assistants & Advanced Practice Nursing ProvidersClinical Nurse SpecialistHome HealthGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH0310319Medicaid